Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,090.30 / $7,585.78	Facility		$616.60	$3,090.30	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $15,488.17	Facility		$602.56	$602.56	$15,488.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $223.87 / $380.19	Facility		$186.21	$223.87	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $758.58 / $1,949.84	Facility		$173.78	$758.58	$1,949.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $5,011.87	Facility		$3,548.13	$3,548.13	$5,011.87
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility	62	$2,238.72	$2,238.72	$2,238.72
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	AS	$354.81	$354.81	$354.81